N.M. Admin. Code § 13.10.13.2 - SCOPE
A.
Applicability. This rule applies to health care insurers that are
required to obtain a certificate of authority or licensure in this state and
which provide, offer, or administer managed health care plans.
B.
Exemptions. This rule does
not apply to policies or certificates that provide coverage for:
(1) traditional fee-for-service indemnity
plans;
(2) only short-term travel,
accident-only, student health, specified disease, or other limited benefits;
or
(3) credit, disability income,
hospital indemnity, long-term care insurance, vision care or any other limited
supplemental benefit, including a stand-alone dental benefit plan, whether
indemnity, PPO, or non-profit plan.
C.
Conflicts. This rule relates
to and should be read in conjunction with 13.10.16 NMAC, 13.10.17 NMAC,
13.10.21 NMAC, 13.10.22 NMAC, and 13.10.23 NMAC. If any provision in this rule
conflicts with any provision of 13.10.17 NMAC, Grievance Procedures, or
13.10.16 NMAC, Provider Grievance, promulgated prior to the effective date of
this rule, the provision in this rule shall apply.
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